Chapel Hill, NC
Ultrasound-Guided Precision

Joint Injections

Deliver the right treatment precisely where it's needed. Using advanced ultrasound guidance, Dr. Buchheit and his team ensure your therapeutic injection reaches the exact location for maximum benefit.

From viscosupplementation to diagnostic blocks, precision matters for effective joint treatment.

Types of Joint Injections We Offer

Different conditions call for different approaches. We'll recommend the right injection type based on your specific diagnosis and goals.

Viscosupplementation

Also called “gel” injections, these procedures that use hyaluronic acid can improve the joint’s natural lubricant and reduce pain in arthritis-affected joints. Although the pain relief is not always dramatic when used alone, viscosupplementation can be combined with PRP to maximize benefits.

  • Restores joint lubrication
  • 6-12 month relief typical
  • Can be safely repeated

Diagnostic Blocks

Injections of local anesthetic to confirm the source of your pain. If the block provides relief, we know we've identified the problem area.

  • Pinpoints pain source
  • Guides treatment planning
  • Temporary effect by design

Looking for regenerative options? We also offer PRP therapy, the Regenokine® Program, Blood protein concentrates, and prolotherapy injections for patients who want treatments that address the underlying cause of their joint problems.

How often can I get joint injections

Joints We Treat

We perform ultrasound-guided injections throughout the body

Knee

Most common joint injection. Excellent for osteoarthritis, meniscus issues, and inflammatory conditions.

Hip

Deep joint that particularly benefits from ultrasound guidance. Effective for arthritis and bursitis.

Shoulder

Complex joint with multiple injection targets. Used for arthritis, rotator cuff problems, and frozen shoulder.

Ankle & Foot

Including ankle joint, subtalar joint, and small foot joints for arthritis and injury.

Wrist & Hand

Wrist, thumb base (CMC), and finger joints. Common for arthritis and trigger finger.

Elbow

Joint and surrounding structures including treatment for tennis elbow and golfer's elbow.

What to Expect During Your Injection

A quick, precise office procedure with minimal discomfort

1

Consultation

We review your condition and imaging, confirm the diagnosis, and explain the injection plan.

2

Ultrasound Imaging

Dr. Buchheit's team uses ultrasound to visualize the joint and plan the optimal injection approach.

3

Precise Injection

With real-time ultrasound guidance, the needle is guided directly into the joint space.

4

Post-Care

Brief observation, aftercare instructions, and you're on your way. Most resume normal activities same day.

Certified Expertise

Dr. Buchheit is a Certified Interventional Pain Sonographer (CIPS), a distinction recognizing advanced training and competency in ultrasound-guided procedures. This expertise ensures:

  • Proven competency in musculoskeletal ultrasound
  • Highest accuracy standards for injections
  • Safe, comfortable procedures
15-30
Minutes per injection

Preparing for Your Injection?

View our complete guide including what to tell us beforehand and recovery tips.

View Injection Prep Guide

Frequently Asked Questions

Most patients find injections more comfortable than expected, especially with ultrasound guidance which minimizes the number of needle passes. We use local anesthetic to numb the skin, and the joint fluid itself is often anesthetic. Most describe brief pressure or mild discomfort rather than significant pain.

It depends on the injection type. Viscosupplementation injections are typically performed every 6-12 months as needed or if PRP is repeated. We’ll create a safe, effective schedule for your situation.

Most patients can resume normal activities the same day, though we typically recommend avoiding strenuous exercise for 24-48 hours. Patients are often able to drive themselves home after the procedure. We'll provide specific aftercare instructions based on the injection type and location.

This varies by injection type. Local anesthetic provides immediate, but temporary relief. Viscosupplementation may take 2-4 weeks to reach maximum benefit. We'll set appropriate expectations during your consultation.

Some joint injections are covered by insurance. TRM&BC can provide you with a statement of services if you wish to submit to your insurance company.

Precision Injections for Better Results

Schedule a consultation to discuss whether ultrasound-guided joint injections can help relieve your joint pain.

Regenerative Treatment Options